CEPHAS PANIAMOGAN

BETHANY, MO
NPI1053601716
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2011007027)
Enumeration Date2011-04-15
Last Update Date2017-03-22
Business Address
Mr. CEPHAS PANIAMOGAN FNP-C
3202 MILLER ST
BETHANY, MO 64424-2713
Phone number: 660-425-3154
Mailing Address
Mr. CEPHAS PANIAMOGAN FNP-C
16027 LOCUST ST APT 5
EAGLEVILLE, MO 64442-7130
Phone number: 660-867-5111
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